Our Team

 Dr. Chelsea Mancuso, PT, DPT, CIDNkkjsfkjsdfj


Dr. Amanda Brewer, PT, DPT - Founder/Owner

Orthopedics


Dr. Amanda Brewer, PT, DPT

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Dr. Amanda Brewer is the founder and owner of Evolve Physical Therapy. She is a North Carolina native. She completed her Bachelor of Science degree in Exercise Science from High Point University. She then received her Doctorate of Physical Therapy from Duke University.

Amanda played numerous sports growing up, but her passion was track and field. She was a D1 collegiate track and field athlete at High Point University. She was a sprinter, with her main event being the long jump. As a prior college athlete, Amanda understands the fundamentals of proper muscle engagement, recovering and preventing injuries, and improving overall performance. Amanda is certified in dry needling, which enhances her skills for optimal recovery. She also has experience in vestibular rehabilitation and treating neurological diseases such as Multiple Sclerosis and Parkinson's Disease.

Outside of physical therapy, Amanda is a military spouse that spends time being active with her husband, daughters (Lila & Amelia) and dog (Waylon). Amanda and her husband have recently developed a passion for flying, which is their new hobby.


***DR. AMANDA IS CURRENTLY NOT ACCEPTING NEW PATIENTS***

Dr. Rebecca Acevedo, PT, DPT

Orthopedic and Pelvic Floor Physical Therapist


Dr. Rebecca Acevedo, PT, DPT

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Institute of Clinical Excellence Certified Pelvic Specialist

Dry Needling Certified


Rebecca is a bilingual (Spanish & English speaker) Doctor of Physical Therapy specializing in orthopedics and female pelvic health. She earned her bachelor’s degree in Exercise Physiology from Florida State University and graduated with her Doctorate in Physical Therapy from the University of St. Augustine for Health Sciences with honors in 2020. Her passion for pelvic health began in grad school with her final thesis on Pelvic Floor Dysfunction in Nulliparous Female Athletes. She is proud to be an Institute of Clinical Excellence Certified Pelvic Specialist (to learn more about this credential, please
click here)


Since moving to Fuquay Varina in 2020, she has had the privilege of treating a wide range of orthopedic, sport, and pelvic health conditions. She has successfully helped athletes and health conscious individuals of all ages confidently participate in their active lifestyles without being held back by pain or pelvic floor dysfunction. With experience as both a patient and a practitioner, she has special interests in evidence-based treatments for low back and pelvic pain, pelvic floor dysfunction during sports, preparation for childbirth, and postpartum rehabilitation. Rebecca’s athletic background includes over 10 years of strength training, college level ballet & modern dance, high school volleyball and a former state champion in basketball. 


Rebecca is certified in dry needling and has completed pelvic floor physical therapy training through Herman & Wallace, Pelvic PT Rising, and has earned her pelvic specialist certification through the Institute of Clinical Excellence. A proud wife and mom, she enjoys good coffee, working out, and traveling to visit family in Puerto Rico and Florida.


What Dr. Rebecca Treats:

• Pelvic pain

 • Pregnancy & postpartum recovery

 • Urinary leakage & urgency

 • Painful intercourse

 • Diastasis recti & core weakness

 • Low back, neck & joint pain

 • Sports & running injuries

 • Post-operative rehabilitation

 • Strength & mobility optimization



Book With Dr. Rebecca

Dr. Nicole Perna, PT, DPT

Orthopedic and Pelvic Floor Physical Therapist


Dr. Nicole Perna, Physical therapist, Pelvic floor physical therapist

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Pelvic Floor Specialist

Dry Needling Certified


Dr. Nicole is a licensed physical therapist specializing in both orthopedic rehabilitation and female pelvic health therapy. She earned her bachelor’s degree in Kinesiology from the University of Tennessee-Knoxville and graduated with her Doctorate in Physical Therapy from High Point University in 2021. She is certified in Dry Needling, internal pelvic floor exams and is an ACE certified group fitness instructor.

With a strong background in orthopedic physical therapy, she has worked with patients of all ages to improve mobility, decrease pain, and return to the activities they love. Her specialized training in pelvic health allows her to support clients pre and postpartum as well as conditions such as pelvic pain, incontinence, diastasis recti, prolapse and post-surgical recovery.

She provides a whole-person approach, combining evidence-based techniques with individualized care plans. Her goal is not only to treat symptoms but to uncover and address the root cause, empowering each patient with tools for long-term success.

When not in the clinic, Nicole enjoys spending time with her husband (Anton) and dog (Rocky), teaching group fitness classes and trying new restaurants around the area.


What Dr. Nicole Treats:

• Pelvic pain

 • Pregnancy & postpartum recovery

 • Urinary leakage & urgency

 • Painful intercourse

 • Diastasis recti & core weakness

 • Low back, neck & joint pain

 • Sports & running injuries

 • Post-operative rehabilitation

 • Strength & mobility optimization

Book With Dr. Nicole

 Dr. Chelsea Mancuso, PT, DPT, CIDNkkjsfkjsdfj


Dr. Christine Melchor (Brooker), PT, DPT


Dr. Christine Melchor, PT, DPT

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Herman & Wallace Pelvic Floor Speclialist

Birth Prep Specialist

Postpartum Specialist


Christine is a Doctor of Physical Therapy and Pelvic Floor Physical Therapist

who is passionate about helping individuals improve their health, function, and

quality of life through compassionate, patient-centered care. She believes pelvic

floor physical therapy should be a collaborative and empowering experience,

where patients feel heard, supported, and confident throughout their healing

journey.


Christine developed a strong interest in pelvic health during her clinical education

and was drawn to the opportunity to help patients navigate often-overlooked

conditions that can significantly impact daily life. She takes a thoughtful,

individualized approach to treatment, recognizing that every patient's

experiences, goals, and challenges are unique. By combining evidence-based

treatment with a holistic perspective, she works closely with patients to reduce

symptoms, restore function, and help them achieve meaningful improvements in

their overall well-being.


To further advance her expertise in pelvic health rehabilitation, Christine has

completed specialized training through the Herman & Wallace Pelvic

Rehabilitation Institute as well as coursework through the Academy of Pelvic

Health Physical Therapy of the American Physical Therapy Association (APTA).

These advanced educational experiences have provided her with the knowledge

and clinical skills to evaluate and treat a wide range of pelvic floor conditions

using evidence-based practices.


Christine earned her bachelor’s degree from Florida State University and her

Doctor of Physical Therapy degree from Gannon University in 2024. Outside of

the clinic, she enjoys reading, exercising, spending time outdoors, and continuing

to expand her knowledge within the field of pelvic health.


What Dr. Christine Treats:


  • Urinary Diagnoses: Stress urinary incontinence (SUI), urge incontinence, mixed incontinence, overactive bladder (OAB), and interstitial cystitis/painful bladder syndrome (IC/PBS).
  • Pelvic Organ Prolapse (POP): Descent of the bladder, uterus, or rectum into the vaginal space.
  • Chronic Pelvic Pain Syndromes: Vulvodynia, vaginismus, dyspareunia (painful sex), and coccydynia (tailbone pain).
  • Orthopedic Pelvic Floor Links: Lumbopelvic-hip complex dysfunctions, sacroiliac (SI) joint dysfunction, and diastasis recti.
  • Pregnancy/Prenatal
  • Birth Preperation
  • Scar Management


Symptoms Addressed

  • Bladder: Urinary leakage (when laughing, coughing, or running), sudden and intense urges to pee (urgency/frequency), and difficulty fully emptying the bladder.
  • Pain: Deep aching or burning sensations in the lower abdomen, groin, hips, low back, or genital region.
  • Sexual: Pain with arousal, pain upon penetration, and leakage or pain during orgasm.
  • Bowel: Difficulty passing a bowel movement, incomplete evacuation, or straining.


Book with Dr. Christine

New PT Coming Late Summer 2026

Orthopedic and Pelvic Floor Physical Therapist


Dr. Nicole Perna, Physical therapist, Pelvic floor physical therapist

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We are excited to bring on another orthopedic/pelvic floor physical therapist to the Evolve Team!

Coming Soon

 Dr. Chelsea Mancuso, PT, DPT, CIDNkkjsfkjsdfj


Becky Allen

Client Experience Director


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Driven by an innate passion for helping others and a professional background in the

medical field, hospital administration, and HR, Becky Allen ensures every patient

receives the extraordinary, personalized support that defines Evolve Physical Therapy.

A child military dependent who lived across the country before settling in Raleigh, North

Carolina 25 years ago, Becky now calls Fuquay-Varina home with her husband, Stuart,

and their two boys. She brings a welcoming, community-first energy to the clinic, fueled

by a genuine passion for supporting every patient’s success.



Becky’s commitment to the patient journey is deeply personal; having recently

navigated an Achilles tendon rupture and repair, she knows firsthand how vital one-on-

one physical therapy is for true recovery. When she isn’t at the clinic cultivating the

patient experience, Becky is homeschooling her sons, gardening, designing

landscapes, walking, hiking, reading and spending quality time with family and friends.

Experience

Our Doctors have experience in orthopedic, pelvic and neurologic rehabilitation.

Certifications

Our Doctors are certified in Dry Needling

Insurance

We will provide you with superbills to submit to your commercial insurance for reimbursement.


We are out-of-network as it allows us to provide the highest quality care without restrictions from insurance companies.

Accessible

The clinic is conveniently located in Holly Springs.